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Wednesday Sessions
Wednesday, June 25,
2008
OIG and
Emerging Risks: Key Interest Areas and What They Mean for
Providers
C01
Topic Area
Compliance/Legislative/Legal
After this session, you will be able to:
- Define
recent changes to Medicare rules and associated compliance
risks for providers and suppliers.
- Relate
Federal program integrity enhancements and trends in audit
activities to your organization.
- Describe key
trends in enforcement agency targets.
- Identify
what is behind the recent OIG and DOJ investigations,
prosecutions and litigation, as well as opportunities to
evaluate and minimize those risks.
Level/Category:
Intermediate/Operational
Who Should Attend:
Compliance officers, as well as others in
the organization who have compliance risk exposure.
Tools and Tips:
You will receive practical tips to assist various types of
providers in evaluating and minimizing their own risk areas.
Speakers:
Lisa Dobson, Shareholder, Bennett Bigelow and Leedom,
PS
David B. Robbins, Managing Partner, Bennett Bieglow and
Leedom, PS
The New Form
990: What You Must Know and Do
C02
Topic Area
Compliance/Legislative/Legal
After this session, you will be able to:
- List the
changes being made by the IRS to Form 990 and its related
schedules, particularly Schedule H for hospitals.
- Recognize
the importance of taking proactive measures for collecting
new and more extensive information.
- Identify the
key risk areas where organizations must make special effort
to provide accurate and complete information.
Level/Category:
Advanced/Operational
Who Should Attend:
CFOs, CEOs, board members, legal counsel,
compliance officers, as well as any others responsible for tax
matters for non-profit organizations.
Tools and Tips:
You will receive annotated forms and
instructions for the Form 990 relative to reporting for tax
year 2008 in 2009.
Speaker:
Mary Rauschenberg, CPA, Director, Deloitte Tax LLP
From CFO to
CEO: Is It For You?
C03
Topic Area
CFO Financial Strategy and Operations
After this session, you will be able to:
- Define and
develop the skills necessary to make the transition to CEO.
- Utilize
specific techniques to sharpen your interviewing skills to
improve your chance of becoming CEO.
- Compare your
experience to that of a CFO in the top slot.
Level/Category:
Advanced/Strategic
Who Should Attend:
Executives who are poised to become CEOs in the near future.
Tools and Tips:
You will receive a checklist of skills necessary to become a
CEO.
Speaker:
J. Larry Tyler, FHFMA, FACHE, FAAHC, CMPE, President,
Tyler and Company
Phyllis A. Cowling, FHFMA, CPA, President & CEO, United
Regional Health Care System
How to Gain
and Retain the Benefits of Financial Benchmarking to Improve
Hospital Bottom Lines
C04
Topic Area
CFO Financial Strategy and Operations
After this session, you will be able to:
- Describe how
the use of benchmarks can substantially help to improve
financial outcomes.
- Discuss the
various benchmarking systems within the industry and how
they can be properly utilized by the organization.
- Recognize
how benchmarking should be used to develop the
organization's long-term (strategic financial planning) and
short-term (one year operating and capital budget) financial
goals.
Level/Category:
Intermediate/Strategic
Who Should Attend:
CFOs, COOs and other executives and
managers, as well as financial analysts and other productivity
management staff.
Tools and Tips:
You will receive case study information, trend
examples, benchmarking outcomes and Balanced Scorecard
examples.
Speaker:
Steven Berger, FHFMA, CPA, President, Healthcare Insights
Lisa S. Bradley, CPA, Vice President Finance and Controller,
St. Francis Medical Center
The Business
Case for Quality: Ingraining P4P Into Operations
C05
Topic Area
Finance and Accounting Operations and Results
After this session, you will be able to:
- Identify how
Spectrum Health has increased revenue by more than $15
million this year and identified cost reduction
opportunities in excess of $25 million, while continuing to
focus on top-quality patient care.
- Develop a
customized plan to effectively meet the demands of the
national quality agenda and the local competitive climate.
- Identify
clinical cost inefficiencies deep within service lines.
- Partner with
physicians and clinical staff to identify and eliminate
hidden inefficiencies within clinical service lines.
Level/Category:
Advanced/Strategic
Who Should Attend:
CEOs, CFOs, CMOs, CNOs and other financial
and clinical executives concerned with quality and
productivity.
Tools and Tips:
You will receive templates and actual tools used by Spectrum
Health.
Speakers:
John Byrnes, MD, Sr. VP, System Quality, Spectrum Health
System
Joseph J. Fifer, FHFMA, CPA, VP, Hospital Finance, Spectrum
Health
Impact of 2008 Elections on Healthcare Providers
C06
Topic Area
Finance and Accounting Operations and Results
After this session, you will be able to:
- Explore
the impact of proposed healthcare reforms on hospitals.
- Identify
budgetary impacts of new programs.
- Prepare for
payment changes in CMS programs.
Level/Category:
Advanced/Strategic
Who Should Attend:
CEOs, CFOs, CMOs, CNOs and others with key
roles in the organization’s planning and strategy development
Tools and Tips:
You will receive a summary document/ white paper.
Speakers:
Bruce Vladeck, Executive Director, Ernst and Young
LLP
Dr. Thomas C. Royer, President & CEO, CHRISTUS Heatlh
Panel TBD
Developing
and Maintaining Hospital-Employed Affiliated Physician Groups
C07
Topic Area
Finance and Accounting Operations and Results
After this session, you will be able to:
- Assess the
employed-physician and affiliated role in the organization, including
compliance issues and internal physician relations issues.
- Identify the
key steps to forming an employed or affiliated physician group.
- Discuss
organizational structure issues.
Level/Category:
Advanced/Operational/Strategic
Who Should Attend:
CEOs, CMOs, CFOs, CNOs and other executives
and managers involved in physician-hospital issues and
relations.
Tools and Tips:
You will receive a checklist of keys to the financial success
of such arrangements, as well as a working list of legal
issues that apply to most organizations.
Speakers:
Keith Moore, FHFMA, Assistant Vice President, Duke
University Health System
John R. Washlick, Member, Cozen O'Connor
Medicare PPS
Update: Cost Reporting for Rural and Small Hospitals
C08
Topic Area
Medicare/ Payment/
Reimbursement
After this session, you will be able to:
- Define how
MS-DRGs affect a rural or small hospital's reimbursement.
- Describe the
impact cost-based DRG weights have on reimbursement, and how
cost report may affect those weights.
- Summarize
key
issues covered in the federal fiscal year 2009 IPPS proposed
rule to be published in April.
- Recognize
other recent developments in PPS reimbursement, including
wage index issues, outpatient PPS, and rural reimbursement
differences.
Level/Category:
Intermediate/Operational
Who Should Attend:
CFOs, senior financial executives and
controllers from small
and rural hospitals
Tools and Tips:
You will receive a checklist of ideas for improving accuracy
of MS-DRG coding, tips for improving the accuracy of the
Medicare cost report, and a checklist of items to act on with
regard to the inpatient PPS proposed rule.
Speakers:
Tim Wolters, CPA, Partner, BKD, LLP
Brad Brotherton, CPA, Senior Manager, BKD, LLP
P4P:
Implications for Your Organization and What You Need to Do to
Prepare
C09
Topic Area
Managed Care/Payment/Reimbursement
After this session, you will be able to:
- Gain insight
into the current nature of P4P models.
- Identify
examples of successful P4P business models that integrate
both hospital and physician issues.
- Outline
corporate strategy issues that impact private payer
contracting issues.
Level/Category:
Intermediate/Operational
Who Should Attend:
CFOs, financial executives, managed care
executives and directors, PFS
executives, executives involved in the collection and
reporting of quality indicator results.
Tools and Tips:
You will receive sample listings of organization preparedness
activities and integration strategies for your organization.
Speaker:
William J. DeMarco, President and CEO, DeMarco and
Associates
Defensible
Strategic Pricing: Getting the Most Out of Your Managed Care
Strategy
C10
Topic Area
Managed Care/Payment/Reimbursement
After this session, you will be able to:
- Articulate
leading practices on generating defensible and strategic
contract changes to achieve net revenue targets.
- Use proven
industry modeling techniques to manage defensible,
strategically coherent prices and rates.
- Organize
roles/responsibilities regarding pricing and managed care
contracting functions and annual budgeting.
- Effectively
estimate the defensible net revenue opportunity/ upside for
your health system, based on size, case mix, location and
managed care contract profile.
Level/Category:
Intermediate/Operational
Who Should Attend:
CFOs, senior financial executives and
managed care executives.
Tools and Tips:
You will receive best practice strategic pricing/markup
checklist to-dos, case studies, spreadsheet models and a copy
of an industry best practice survey.
Speakers:
Michael Nugent, CHFP, Navigant Consulting, Inc.
Tony Bentley, Corporate Director, Revenue and Analysis, Novant
Health
Leveraging
Self-Service Kiosks for a Streamlined Patient Experience: Medical Center of Central Georgia Case Study
C11
Topic Area
Patient Financial Services/ Revenue Cycle
After this session, you will be able to:
- Discuss the
do's and don’ts for introducing self-service technology
to patients and staff.
- Review the
different ways to evaluate and gauge patient satisfaction
with self-service technology.
- Create
strategies for securing buy-in of self-service technologies
at the executive level.
Level/Category:
Advanced/Strategic
Who Should Attend:
CFOs, CIOs, director of physician services,
clinical directors, quality management, executive revenue
cycle leaders, directors of PFS and patient access and other
healthcare leaders responsible for customer satisfaction.
Tools and Tips:
You will receive case study information from the Medical
Center of Central Georgia, including sample flow charts,
policies and customer acceptance questionnaire results.
Speakers:
ane Gray, CPA, CHE, Assistant VP for Patient
Business Admin,
The Medical Center of Central Georgia
Kim Whitley, RN,
Director of Patient Access,
The Medical Center of Central Georgia
Creating an
Operational Early-Warning System for Your Medical Group: The
Holzer Clinic Experience
C12
Topic Area
Patient Financial Services
After this session, you will be able to:
- Identify the
most important data points for measuring and evaluating
practice operations.
- Use key
metrics to develop an operational early warning system and
practical management steps.
- Identify
operational problems before they become financial problems.
- Use the
system to address advanced management challenges, such as
managed care contracting and P4P.
Level/Category:
Intermediate/Operational/
Who Should Attend:
Director of physician services, executive
revenue cycle
leaders, directors of PFS and patient access, CFOs, CIOs and
any healthcare leaders involved in physician revenue cycle
management. Physician practice groups.
Tools and Tips:
You will receive several report templates to adapt for your
own management needs, including a front-end indicators
scorecard, an office collection report, a claims processing
report, edit and denial reports and a provider dashboard
report.
Speakers:
Daniel J. Marino, MHA, MBA, Vice President,
Health Directions, LLC
Nathan Miller, Director of Business
Office Operations, Holzer Clinic
Medicare
Contractor Reform: What You Need to Know to Prepare for the
Change
C13
Topic Area
Patient Financial Services/ Revenue Cycle
After this session, you will be able to:
- Discuss
current and pending changes of Medicare.
- Examine how
these changes affect individual facilities.
- Identify the
steps you must take to prepare for the transition when it
occurs in your state.
- Develop
questions to ask your current connectivity vendor in order
to assess their readiness for the transition.
Level/Category:
Update/Operational
Who Should Attend:
Executive revenue cycle leaders, directors
of PFS and patient access,
CFOs, CIOs, directors of finance and reimbursement and director
of physician services.
Tools and Tips:
You will receive a sample list of questions to use with your
current connectivity vendors.
Speaker:
Garry Keute, Director of Business Development,
VisionShare, Inc
CDM
Standardization: The Rewards and Challenges–A Peer Review
Session
C14
Topic Area
Peer Reviewed/ Patient Financial Services/ Revenue Cycle
After this session, you will be able to:
- Develop a
sound business case for pursuing CDM standardization.
- Develop and
document standardization protocols to support realistic
pricing comparisions and consistent and efficient
chargemaster maintenance.
- Design and
carry out a plan for standardizing the chargemaster.
- Improve
charge capture processes by effectively synchronizing
chargemaster nomenclature with clinically meaningful charge
capture mnemonics.
- Minimize the
incidence of duplicate line item creation in the CDM and
facilitate timely and meaningful deactivation of unnecessary
line items to prevent inappropriate or ineffective charging.
Level/Category:
Intermediate/Operational
Who Should Attend:
CFOs, CIOs, executive revenue cycle
leaders, directors of
PFS, directors of finance and reimbursement, clinical
directors and other leaders responsible for charge capture
integrity.
Tools and Tips:
You will receive a step-by-step outline of how to approach a
standardization project, a template for developing
standardization conventions for key clinical departments and
sample standardization conventions for key clinical
departments.
HFMA's Peer Review process is designed to provide healthcare
financial managers with an objective, third-party evaluation
of products and services used in the healthcare finance
workplace. This session provides a case study of a
particular peer-reviewed solution, service or technology.
Providers and vendors will be joint-presenters.
Speakers:
Patrick Mason, Director, Transaction Control, The
Methodist Hospital
Jill Wolf, RHIT, CCS, CHC, Vice President,
Content and Service Integrity, Accuro Healthcare Solutions
RAC ATTACK-
Utilizing Observation Correctly to Prevent Exposure With 1-Day
Stays and Short Stays
C15
Topic Area
PFS/Revenue Cycle
After this
session, you will be able to:
-
Identify
vulnerabilities – why you should LOVE Observation!
-
Examine
partnerships between bedside nursing and the physicians ++
Hospitalists
-
Apply practical
ideas for implementing observation with triggers created to
target non-billable hrs
-
Discuss RAC
ATTACK – know how to data mine risk areas thru internal
auditing
-
Identify
timelines--No time to ‘talk it to death”; the time is now to
move forward with new, operational focused ideas.
-
Identify new
payment for 2008
Level/Category
Update/Operational
Who Should Attend
Executive Revenue Cycle Leaders, Director of PFS and Access,
CFO, CIO, Director of Finance and Reimbursement, and Director
of Physician Services
Prerequisite/Pre-work
None
Tools & Tips
Coming Soon
Speaker
Day Egusquiza, President, AR Systems, Inc.
Handling the
Financial, Valuation and Legal Risk of Cancer Center Joint
Ventures (including Stereotactic Radiosurgery)
D01
Topic Area
Compliance/Legislative/Legal
After this session, you will be able to:
- Recognize
the types of technologies that may be employed in Cancer
Center Joint Ventures.
- Address the
business financial, valuation and legal considerations
associated with such joint ventures.
- Formulate
such a venture, including the offering process and
documentation.
- Address
unique regulatory issues presented in such transactions.
Level/Category:
Intermediate/Operational
Who Should Attend:
Legal counsel, CEOs, CFOs, board members
and compliance officers.
Tools and Tips:
You will receive a sample draft operating
document and draft lease agreement.
Speakers:
Paul R. DeMuro, JD, FHFMA, MBA, CPA, Partner, Latham
and Watkins LLP
John S. Howard, JD, Ph.D., Vice President,
General Counsel, St. John's Mercy Health Care
Nonprofit
Hospitals and Property Tax Challenges: Managing Exemption and
Valuation Disputes
D02
Topic Area
Compliance/ Legislative/ Legal
After this session, you will be able to:
- List the
factors resulting in the reversal of the Provena decision
denying charitable exemption.
- Discuss the
arguments being made by local and state tax authorities
against tax exemptions for "modern" hospitals and other
healthcare facilities.
- Identify the
triggers for exemption controversy as well as the practical
measures that will assist in defeating regulatory challenges
to exempt status.
- Describe the
debate ongoing over the cortrect approach to the valuation
of hospitals for tax purposes.
- Consider the
use of valuation studies to respond to allegations that the
organization is undeserving of tax subsidy and not
charitable.
Level/Category:
Advanced/Operational/Strategic
Who Should Attend:
Legal counsel, CEOs, CFOs, board members and compliance
officers.
Tools and Tips:
You will receive a methodology for valuing a hospital for tax
purposes, exemption and valuation checklists and sample
valuation studies.
Speakers:
Patrick S. Coffey, Partner, Lord Bissell & Brook LLP
M. Meghan Kieffer, Esq., System Senior Vice President,
General Counsel, Provena Health
Washington
Update: Tracking Trends and Preparing for Change
D03
Topic Area
CFO Financial Strategy and
Operations/Compliance/Legislative/Legal
After this session, you will be able to:
- Identify
potential legislation and its drivers and what it could
mean for the industry.
- Assess the
regulatory environment.
- Develop
organizational strategies for positioning tomorrow’s
healthcare delivery.
- Analyze
election politics as they relate to healthcare finance.
Level/Category:
Intermediate/Strategic
Who Should Attend:
Senior managers who must develop and
implement plans and
manage in today’s uncertain political and regulatory
environment.
Tools and Tips:
You will receive tips on how to incorporate political action
and understanding into strategic planning, as well as how to
make the needs and requirements of the healthcare system
more widely understood and accepted by the general public.
Speaker:
Nancy C. Bell, FHFMA, Senior Managing Director, Healthcare
Finance, Stevens and Lee
Allies in
the Board Room: What the Board Needs to Know About the Revenue
Cycle
D04
Topic Area
CFO Financial Strategy and Operations
After this session, you will be able to:
- Develop
techniques for connecting with the Board without undermining
the Board-CEO relationship.
- Identify
strategies for obtaining the Board's assistance.
- Describe
methods for educating the Board on revenue cycle issues.
Level/Category:
Intermediate/Strategic
Who Should Attend:
CEOs, CFOs and other C-suite members who
are directly involved with the organization’s Board.
Tools and Tips:
You will receive techniques to engage the Board, checklists
of key educational issues for Board members, do's and don’ts
for working with Board members and a plan to make the Board an
ally.
Speakers:
Robin Bradbury, President, Resolution Consulting, LLC
Cliff Boyd,
Former Chairman of the Board, Parkland Memorial Hospital
Dallas
Getting the
Most from Your IT Investment: Financial Options, Products and
Strategies
D05
Topic Area
Finance and Accounting Operations and Results
After this session, you will be able to:
- Balance
corporate strategy with critical technology needs in an era
of constrained resources.
- Evaluate
available financial options, products and strategies for
technology assets and upgrades.
- Determine
which financial structures—and providers—align with
corporate strategy.
Level/Category:
Intermediate/Strategic
Who Should Attend:
CFOs, CEOs, CMOs, and other executives and managers involved
in capital equipment planning and management.
Tools and Tips:
You will receive methodologies to evaluate strategies
for asset ownership and technology upgrades, criteria for
prioritizing investments and discussion of funding options.
Speakers:
Randy Waring, Hospital Market Leader, GE Healthcare
Financial Services
Mark Segal, Senior Director, Global
Product Strategy Company
Upswings,
Downturns, Yield Curves and You: Small Hospital Financing
D06
Topic Area
Finance and Accounting Operations and Results
After this session, you will be able to:
- Define the
qualitative and quantitative, internal and external factors
affecting available financing options.
- Know what
market factors to monitor in advance of a capital project
and how those factors will impact various financing options
long-term.
- Discuss case
studies illustrating how market states and market shifts
affect hospital financing decisions.
- Better
understand weighted financial strength as compared to state
and national peers.
Level/Category:
Intermediate/Operational
Who Should Attend:
CEOs, CFOs and board members of smaller
hospitals.
Tools and Tips:
You will receive Financing Options for Nonprofit Rural and
Community Hospitals and free SHIFT Report on the attendee's
hospital (by request), indicating your financial ratios and
weighted financial strength as compared to state and national
peers.
Speakers:
Tanya K. Hahn, Sr. Healthcare Credit Officer/Mng
Dir., Lancaster Pollard
Thomas R. Green, Chief Executive
Officer, Lancaster Pollard
Competing in
the Outpatient Arena: A Panel's Look at Key Trends, Strategies
and Experiences
D07
Topic Area
Finance and Accounting Operations and Results
After this session, you will be able to:
- Identify
major trends in for-profit healthcare and understand how
those trends affect non-profit organizations.
- Build
strategies for competing in the outpatient arena based on
local market dynamics and other providers' experience.
- Understand
emerging trends in outpatient surgery and what that means
for the future of your organization.
Level/Category:
Intermediate/Strategic
Who Should Attend:
CEOs, CFOs, clinical service managers and
others involved in setting the strategic direction of the
organization.
Tools and Tips:
You will receive case studies that discuss how real hospitals
compete with free-standing centers, as well as tips for
legally structuring successful outpatient operations.
Speakers:
Don Carlson, Vice Chairman and Senior Managing Director,
Ziegler-Healthcare Finance; Jim Redpath, Managing Director and
Group Head, Healthcare Corporate Finance; Scott Becker,
Partner, McGuireWoods LLP; L. Robert Guenthner, Vice Chair
National Health Care Group,
Partner, Sonnenschein Nath & Rosenthal LLP; Ann Beck, Vice
President/Chief Financial Officer, Carson Tahoe Regional
Healthcare; Ian G. Worden, FHFMA, MS, MHA, MBA, CPA, Senior
Vice President/Chief Financial Officer, St. Vincent Health
What You
Don't Track Can Cost You: Overcoming the Challenge of Silent
PPOs
D08
Topic Area
Managed Care/Payment/Reimbursement
After this session, you will be able to:
- Describe
effective contract auditing techniques.
- Develop an
implementation plan to measure and track results.
- Discuss how
to quantify lost revenue.
- Incorporate
tracking results into your organization’s managed care
strategy.
Level/Category
Intermediate/OperationalWho Should Attend
Managed care executives, senior financial executives,
directors of patient financial services and revenue cycle
executives.
Prerequisite/Pre-work
None
Tools and Tips
You will receive a list of top reimbursement trends for use in
identifying critical payment issues, sample guidelines
enabling financial leaders to prioritize resources and respond
to current market factors, and a sample models and best practices for maximizing
commercial reimbursement.
Speaker Paula R. Dillon, Director of Managed Care,
Rockford Health Systems
Operationalizing Consumer-Directed Health Plans
D09
Topic Area
Managed Care/Payment/Reimbursement
After this session, you will be able to:
- Recognize
the business drivers behind CDHP healthcare insurance
products.
- Identify the
hot spots for provider organizations strategically and
operationally in responding to these new products and
consumer expectations.
- Define one
or two ideas that should be implemented within your own
organization.
Level/Category:
Intermediate/Operational
Who Should Attend:
Managed care directors, vice presidents of finance and PFS directors .
Tools and Tips:
You will receive best practices, strategies and tools for
business operations to support CDHP products and an outline of
steps you should be taking within your organization—by
department—in preparation of implementation of implementation
of CDHP products.
Speaker:
Pamela Waymack, FHFMA, Managing Director, Phoenix
Services, Managed Care Consulting, Ltd.
Medicare PPS
Update: Cost Reporting for Large Hospitals and Systems
D10
Topic Area
Managed Care/ Payment/
Reimbursement
After this session, you will be able to:
- Define how
MS-DRGs affect a hospital's reimbursement.
- Describe the
impact cost-based DRG weights have on reimbursement, and how
cost report may affect those weights.
- Identify
issues covered in the federal fiscal year 2009 IPPS proposed
rule to be published in April.
- Recognize
other recent developments in PPS reimbursement, including
wage index issues, outpatient PPS, rural reimbursement
differences, etc.
Level/Category:
Intermediate/Operational
Who Should Attend:
CFOs, senior financial directors and
controllers.
Tools and Tips:
You will receive a checklist of ideas for
improving accuracy of MS-DRG coding, tips for improving the
accuracy of the Medicare cost report and a checklist of items
to act on with regard to the inpatient PPS proposed rule and
other recent legislative or regulatory developments.
Speakers:
Tim Wolters, CPA, Partner, BKD, LLP
Brad Brotherton, Senior Manager, BKD, LLP
Achieving
Innovative, Patient–Centered, Cost–Efficient and Integrated
Business Services: Providence Health Services-Oregon Case
Study
D11
Topic Area
Patient Financial Services/ Revenue Cycle
After this session, you will be able to:
- Improve
productivity and reduce operating costs.
- Evaluate
low-cost, high-return technical solutions.
- Develop
creative ways to enhance service to customers.
- Apply
practical ideas to improve productivity and improve
operating costs.
Level/Category:
Intermediate/Strategic
Who Should Attend:
CFOs, CIOs, revenue cycle executives, HIM
and HR Directors, PFS and patient access directors and other
revenue cycle leaders involved in revenue cycle process
improvement strategies.
Tools and Tips:
You will receive an integrated business
services case study, an overview of Providence-Oregon revenue
cycle structure, including FTE allocations, technology
implemented, office culture and expectations
Speaker:
Teresa Spalding, Administrator, Oregon Business
Offices, Providence Health System
HIPAA–Mandated Transaction Sets: Understanding Proposed Changes and
How Providers Can Influence Them
D12
Topic Area
Patient Financial Services/
Revenue Cycle
After this session, you will be able to:
- Assess how
the Institutional Claim, UB-04 (paper), and the 5010
(electronic) are closely
aligned.
- Review an
introduction of the
proposed updates to the HIPAA-mandated transactions, as well
as benefits to your business.
- Evaluate the adoption process and
identify how change may still be
effectuated.
Level/Category:
Basic/Strategic
Who Should Attend:
CFOs, CIOs, revenue cycle executives, HIM
and HR Directors, PFS and patient access directors and other
healthcare leaders affected by HIPAA-mandated transaction
sets.
Tools and Tips:
You will receive a spreadsheet
that will help formulate effective comments in response to the NPRM.
Speakers:
John Bock, President, eEmergence, Co-Chair of the X12 HIPAA
Implementation Workgroup
Gail Kocher, Tech
Business Analyst IV,
HIPAA Knowledge Center Highmark,
and Co-chair of the X12 HIPAA Implementation Workgroup
Developing a
Patient-Centric Experience with the Right Mix of Technology
and People: Integris Health Case Study
D13
Topic Area
Patient Financial Services/ Revenue Cycle
After this session, you will be able to:
- Assess the
most effective technology for creating effective, efficient
patient processing.
- Define
methods for increasing patient satisfaction and decreasing
billing and collection expenses.
- Identify
when "in-sourcing" makes sense.
Level/Category:
Intermediate/Operational/
Who Should Attend:
Patient access directors, CFOs, CIOs,
compliance officers, PFS directors and revenue cycle
directors.
Tools and Tips:
You will receive ROI data, sample operational dashboard
metrics, a sample management scorecard, model staff education
program and a copy of their career ladder development program.
Speakers:
Greg Meyers, System Vice President, Contracting and
Revenue Cycle
Management, Integris System
Brent Grimes, System Director of PFS, Integris System
Price
Defensibility: Breaking Down the Barriers Between the Supply
Chain and the Revenue Cycle–A Peer Review Session
D14
Topic Area
Peer Reviewed/ Patient Financial Services/ Revenue Cycle
After this session, you will be able to:
- Examine the
different types of CDM structures and recognize the optimal
structure for defensible pricing/maintenance.
- Identify the
various impediments of having cost to charge data
transparency.
- Evaluate the
charging flow of an item as it relates to system integration
and/or IT business process so linkages can be created and
maintained properly.
- Assess best
practice for creating and maintaining linkages between the
supply chain and revenue cycle.
- Assess best
practice for creating and maintaining linkages between the
supply chain and revenue cycle.
Level/Category:
Intermediate/Operational
Who Should Attend:
CFOs, CIOs, executive revenue cycle
leaders, PFS directors, finance and reimbursement directors,
managed care directors, clinical directors, materials
management and other leaders responsible for charge capture
integrity.
Tools and Tips:
You will receive an example optimal CDM structure for
supplies, best practice tools for item file maintenance and
best practice communication/work flow documents between
disparate departments.
HFMA's Peer Review process is designed to provide healthcare
financial managers with an objective, third-party evaluation
of products and services used in the healthcare finance
workplace. This session provides a case study of a
particular peer-reviewed solution, service or technology.
Providers and vendors will be joint-presenters.
Speakers:
Kate Banks, Senior VP of Products and Operations, MedAssets Net Revenue Systems
Kathy Schwartz, Senior Manager of
Content for Rx and Supplies, MedAssets Net Revenue Systems
Lee Brooks, Director Product Development, MedAssets Net
Revenue Systems
Pat Rosenthal, Senior Director, Revenue Cycle
Management, Thomason Healthcare
The Devil in the
Details--CMS and Physician Regulations (Stark III, et al): What
the Proposals in the FY2009 IPPS Rule Could Mean for Future
Physician-Hospital Relationships
D15
After this session, you will be able to:
- Identify the
most recent CMS provisions to compensation arrangements.
- Describe
other CMS proposed changes to physician payment, including
revisions to the definitions of “physician” and “physician
organization.”
- Assess how
CMS plans could affect your organization and its
physician-hospital ventures.
Level/Category
Advanced/Strategic
Who Should Attend
Financial executives and others involved with physician-hospital
arrangements, and medical group management
Tools
Questions to be asked of your arrangements that will assist you in
determining if you have issues requiring the attention of legal
counsel or a change of course for your organization/group.
Speaker
D. Louis Glaser, Partner, Sonnenschein Nath & Rosenthal LLP |
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